Note: The job is a remote job and is open to candidates in USA. Virta Health is a company focused on providing effective healthcare solutions, and they are seeking a Revenue Cycle Management Specialist to ensure accurate and timely setup of client accounts. The role involves coordinating onboarding processes, managing billing tasks, and collaborating with cross-functional teams to enhance operational efficiency.
Responsibilities
- Coordinate and support the setup of new clients (payers and employers), ensuring each onboarding process is completed accurately and on time
- Assist in configuring client accounts for billing and confirming payments are directed to the correct banking accounts
- Maintain clear and organized documentation for all onboarding activities and account changes
- Help maintain the Price Book, ensuring all pricing is current and correctly reflected in the billing platform
- Support the billing testing process by tracking test claims and verifying payer setup to ensure accuracy, completeness, and minimize denials or payment delays
- Apply policies, procedures, and professional guidance to resolve routine issues effectively
- Demonstrate a learning mindset — proactively seeking clarification, validating assumptions before starting work, and ensuring tasks are executed to the highest standard
- Understand and apply eligibility and benefit information related to CPT, HCPCS, and ICD-10 codes
- Collaborate with and support contractors or vendor partners assisting in data entry, billing prep, or testing tasks—helping ensure alignment on timelines, accuracy, and process consistency
- Ensure Billing Guides and Pricing Tickets are complete, accurate, and fully up to date
- Validate payer setup requirements, including CPT/HCPCS codes, units, modifiers, and POS settings
- Maintain centralized documentation for each customer, including payer configurations, contract details, go-live checklists, and direct invoice formats
- Document manual workflows for unusual billing scenarios to support future scaling and automation
- Submit all Price Books at least 7–14 days prior to launch to prevent retroactive updates and inaccuracies
- Support the implementation lifecycle across cross-functional teams (Product, RCM, Legal, Operations)
- Own the direct invoicing process, ensuring invoices are generated and delivered accurately and on time
- Maintain a tracker (billing guide) for all direct invoices, including any formatting or manual intervention needed
- Keep all direct invoice accounts under 90 days; escalate to Customer Success (CS) and team lead if approaching or exceeding 90 days
- Own Direct Minimum Billings and Platform Fee Billing and Collections, ensuring accuracy, completeness, and timely processing
- Generate and deliver invoices for direct-billed clients accurately and on schedule
- Ensure all applicable contract fees (e.g., minimum billings, platform fees) are billed and collected promptly
- Respond to internal and external billing inquiries, communicating clearly and frequently to keep stakeholders informed of progress and resolution
- Manage ad-hoc reporting requests and deliver reliable, data-driven outputs that support business needs
- Uphold a customer-first mindset, providing world-class service while maintaining accuracy and professionalism in every interaction
- Support billing reconciliation tasks with oversight from senior team members, ensuring that all invoices and adjustments are properly logged and verified
- Assist in coordinating with contractors handling supplemental billing or reconciliation work to ensure quality and consistency of outputs
- Serve as a knowledgeable and reliable contributor to front-end RCM processes, sharing institutional knowledge and supporting new team members as needed
- Identify blockers or inefficiencies and collaborate with peers and management to improve processes
- Contribute to the continuous documentation and refinement of RCM workflows, ensuring updates are accurate and accessible
- Work effectively across functions to coordinate and resolve issues that impact billing
- Balance independence and collaboration, delivering strong individual results while contributing to team goals and maintaining open communication with peers and managers
Skills
- 1–2 years of experience in a healthcare revenue cycle management role
- Experience and knowledge of commercial and government payer policies, regulations, and requirements
- Knowledge of CPT, HCPCS, and ICD-10 coding
- A background in process improvement and familiarity with product development concepts
- Strong critical thinking and problem-solving skills, with the ability to resolve issues within defined policies and frameworks
- Excellent computer, technology, and online application skills
Company Overview
Virta delivers a clinically-proven treatment to reverse type 2 diabetes and other chronic metabolic diseases. It was founded in 2014, and is headquartered in San Francisco, California, USA, with a workforce of 1001-5000 employees. Its website is http://virtahealth.com.
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